Garfield House Care Home

This service was previously part of Carders Court Care Home, a residential care home which provided personal and nursing care for up to 150 older people, people with a physical disability and people living with dementia. In September 2022, the provider split Carders Court Care Home into 5 separate care homes which were registered with the Care Quality Commission (CQC) individually. Garfield House Care Home is one of those services. The last inspection of Carders Court Care Home took place in February 2021.

Staff supervisions were not always taking place in line with the providers policy. Staff competencies were checked and staff training completion rates were high. Peoples feedback about food was mixed and the meals provided did not always match the menu we were shown. We made a recommendation about this. The home was neutral in décor, though the environment could be improved for people living with dementia. People's needs had been assessed and people were supported by staff with their healthcare needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told us they were treated with dignity and respect and people were supported to be as independent as possible. Records were securely stored, and people were able to express their views. People were supported to access advocacy when they needed to.

People were involved in planning their care; however, we received mixed feedback about people making choices. People told us they were able to choose things such as, when they went to bed, but people were not getting offered frequent showers. We made a recommendation about this. An activities coordinator supported people to take part in activities, however, feedback on activities was mixed. People's communication needs were being met. Although there had been no complaints about the service, a

complaints policy and procedure was in place should people want to raise any concerns. The service was not supporting anyone who was end of life at the time of the inspection, though staff had received training in this area.

Various governance issues were identified during our inspection, including issues around records and audits. Although the registered manager was aware of their responsibility under the duty of candour, they had not always reported incidents to CQC. Feedback about the registered manager was positive and staff knew how to report poor practice. Meetings for staff, relatives and people that use the service were taking place, though surveys had only been conducted with residents.